Subjects -> BEAUTY CULTURE (Total: 22 journals)
    - BEAUTY CULTURE (20 journals)
    - PERFUMES AND COSMETICS (2 journals)

BEAUTY CULTURE (20 journals)

Showing 1 - 19 of 19 Journals sorted alphabetically - Revista Eletrônica de Moda     Open Access  
American Journal of Cosmetic Surgery     Hybrid Journal   (Followers: 8)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Corps et culture     Open Access   (Followers: 3)
Critical Studies in Fashion & Beauty     Hybrid Journal   (Followers: 14)
Dress     Hybrid Journal   (Followers: 13)
Fashion and Textiles     Open Access   (Followers: 18)
Flavour and Fragrance Journal     Hybrid Journal   (Followers: 5)
Ground Breaking     Open Access   (Followers: 1)
Instyle     Full-text available via subscription   (Followers: 1)
International Journal of Cosmetic Science     Hybrid Journal   (Followers: 11)
Materiali di Estetica     Open Access  
Media, Culture & Society     Hybrid Journal   (Followers: 46)
Mind Culture and Activity     Hybrid Journal   (Followers: 10)
Parallax     Hybrid Journal   (Followers: 11)
Professional Beauty     Full-text available via subscription   (Followers: 7)
Science as Culture     Hybrid Journal   (Followers: 12)
The Rose Sheet     Full-text available via subscription   (Followers: 2)
Transactions of the Burgon Society     Open Access   (Followers: 2)
ZoneModa Journal     Open Access   (Followers: 1)
Similar Journals
Journal Cover
American Journal of Cosmetic Surgery
Number of Followers: 8  
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0748-8068 - ISSN (Online) 2374-7722
Published by Sage Publications Homepage  [1141 journals]
  • Modified Suture Technique to Improve Cosmetic Appearance and Wound
           Dehiscence in Upper Blepharoplasty
    • Authors: Nabil Fakih-Gomez, Roshini Manay, Andres Bastidas, Ibrahim Fakih-Gomez
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      The objective of the study was to compare wound dehiscence in upper blepharoplasty between the traditional suturing technique and the modified suturing technique in split-face study. A prospective, intrapatient split-face study was conducted from October 2019 to August 2020 in 40 patients who underwent upper blepharoplasty. The incision was made on both eyes, where the left eye received 3 subcutaneous buried sutures (6-0 polyglactin) before interrupted 6-0 nylon skin closure (modified technique), and the right eye underwent skin closure only (traditional technique). At 3 months, the aesthetic results using Hollander wound scale were evaluated by patients and an independent surgeon blinded to the method of closure. The study included 40 patients with an average age of 45 years. At 3 months, 39 patients (97.5%) recorded lateral wound dehiscence on the right eye and 0 patients (0%) on the left eye. The patient was scored 2 on the right eye and 5 on the left eye by the surgeon, whereas the patient scored 3 on right eye and 5.5 on left eye on Hollander wound scale. The modified technique in upper blepharoplasty proved to be a more aesthetically appealing and effective method to achieve a better scar in inverted canoe-shaped incisions with high-tension closure in well-positioned eyebrow.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-05-03T10:07:30Z
      DOI: 10.1177/07488068211010077
  • Oculoplastic Surgeons’ Surgical, Clinical, and Management Experiences
           During the COVID-19 Crisis
    • Authors: Natalie A. Homer, Aliza Epstein, John W. Shore, Marie Somogyi
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      During the COVID-19 crisis, the American Society of Ophthalmic Plastic and Reconstructive Surgeons (ASOPRS) recommended cessation of all nonurgent oculofacial services, imparting unprecedented challenges in patient care and practice management. An anonymous survey was performed to assess surgeons’ surgical, clinical, and financial experiences during the COVID-19 restrictions. Results were collected from April 20 to May 1, 2020 and analyzed. A total 112 ASOPRS members participated. A significant majority (81.52%) performed surgeries during the COVID-19 restrictions. Fourteen percent did not allow trainee participation. While operating, 34.41% always wore an N-95 mask. Preoperative patient COVID-19 testing was mandated in 37.21% of practices. Fewer than half of surgeons were required to leave the operating room during intubation. A large majority (88.76%) of ASOPRS members used telemedicine, with most finding the virtual platform to function moderately well (62.92%) for oculofacial evaluations. Senior ASOPRS members were less interested in continuing virtual patient encounters in the future (P = .0130). Nearly all private practice surgeons (95.38%) had applied for federal funding and 83.51% expressed concern about the long-term financial well-being of their practice. ASOPRS surgeons have provided emergency oculofacial patient care during COVID-19, though often without proper safety precautions. New virtual patient evaluation platforms and financial practice hardships have posed additional challenges.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-04-22T05:13:18Z
      DOI: 10.1177/07488068211009062
  • Dissection Methods in Abdominoplasty: A Systematic Review and
    • Authors: Peter Duy Tran, Clement Lam Tsang, Ron Paul Bezic
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Abdominoplasty is one of the most common cosmetic procedures performed worldwide. Despite recent advances in surgical technique, the risk of complications remains high. The advantages of using various dissection devices as a method of flap elevation in abdominoplasty remains unclear. A systematic search was undertaken to identify studies comparing electrocautery dissection with scalpel dissection and plasma-kinetic energy-based dissection methods in abdominoplasty. A meta-analysis was performed using the selected studies. Seven studies were analyzed. These studies included a total of 1143 patients who underwent abdominoplasty using electrocautery (n = 617), steel scalpel (n = 457), or plasma dissection (n = 69). A meta-analysis was conducted, which showed an overall reduction in incidences of seroma, operative time, and length of hospital stay in the scalpel dissection group compared with the electrocautery group. The plasma dissection group showed a reduction in rate of postoperative wound infection and hematoma, as well as a reduction in drain output and length of hospital stay, compared with the electrocautery group. There are few studies comparing outcomes using different dissection techniques in abdominoplasty. These studies are small and heterogeneous in design. However, using plasma-kinetic energy-based devices or scalpel dissection appears to be associated with reduced complication rates, shorter operative time, lower drain volumes, and a reduction in the length of hospital stay.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-03-22T09:38:05Z
      DOI: 10.1177/07488068211002733
  • Facial Cosmetic Surgery in the Post-COVID Era
    • Authors: Elie M. Ferneini, Steven Halepas
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.

      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-03-20T07:22:04Z
      DOI: 10.1177/07488068211001247
  • Stress Urinary Incontinence: Treatment With Platelet-Rich-Plasma Injection
           and Placement of Polydioxanone Threads—A Pilot Study
    • Authors: Ariel Luksenburg, Juan J. Barcia, Roberto Sergio, Santiago Fernandez, Marco A. Pelosi, Marco A. Pelosi
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Stress urinary incontinence is an important clinical problem that affects millions of women worldwide. The aim of this article was the evaluation of a minimally invasive procedure as an alternative treatment for mild urinary stress incontinence in women, using platelet-rich-plasma (PRP) injections and polydioxanone (PDO) threads. A total of 23 patients with mild urinary incontinence, mean age 46, were evaluated with detailed history, examination, urinary diary, complete laboratory tests, ultrasonography, urodynamic studies, and completion of International Consultation on Incontinence Questionaire–Urinary Incontinence Short Form (ICIQ-UI SF). Under local anesthesia, PRP was injected through the anterior vaginal wall, PDO threads placed in paraurethral, suburethral, and lateral urethrovaginal spaces, using instruments developed for safe and effective performance. Patients were analyzed at 1, 2, 4, 8 weeks and 6 months posttreatment. A total of 10 patients were biopsed preoperatively and 60 days after treatment. Symptoms and ICIQ-UI SF score were significantly improved. Postoperative urodynamic studies were normal in all cases. Biopsies after treatment showed a dense connective tissue tridimensional mesh. No complications or adverse effects were observed. All patients declared satisfaction with results, will have the procedure again, and will recommend it. The minimally invasive technique presented here results in strengthening of the paraurethral, suburethral, and lateral urethrovaginal spaces and the mucosa of the anterior vaginal wall. The combination of PRP injections and the placement of PDO threads creates a fibrotic and absorbable mesh-like structure, aimed to increase the urethral resistance, so that under effort the intravesical pressure does not overcome the urethral pressure. These results suggest that the procedure is safe and a cost-effective alternative in patients with mild urinary incontinence, reducing the need for invasive surgical procedures. Larger studies are needed to confirm the results of this study.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-03-08T05:48:24Z
      DOI: 10.1177/0748806821998100
  • Ability to Identify External Ear Deformities and Normal External Ear
           Anatomy Based on Year and Specialty of Medical Training
    • Authors: Rahul M. Varman, Kaylee Schrader, Callie Fort, Hannah Daniel, Mhd Hasan Al Mekdash, Joshua Demke
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      The aim of this study was to analyze a potential association between resident training level/specialty type and correct identification of external ear deformities/external ear anatomy. A Qualtrics survey was distributed via email to all pertinent residency programs in the United States. The survey captured specialty type (Otolaryngology, Pediatrics, and Plastic Surgery) and level of training (PGY 1-2 and PGY 3+). The assessment asked residents to identify 10 clinically relevant external ear deformities and 10 normal pinna anatomic subunits. Chi-square tests were used to examine the association between the level of training/specialty type and performance on individual survey items. To examine group performance on overall mean scores of the external ear deformity/external ear anatomy survey, a t-test and factorial analysis of variance (ANOVA) were used. Responses from 105 residents were analyzed. Senior residents (PGY 3+) performed significantly better in correctly identifying Microtia Grade 3, Question Mark ear, and Cryptotia as compared to junior residents (PGY 1-2). Senior residents performed significantly better in the identification of external ear deformities (P = .002) and normal pinna anatomical subunits (P < .001). Otolaryngology and Plastic Surgery residents performed significantly better in the identification of external ear deformities (P < .001) and normal pinna anatomical subunits (P < .001) than Pediatrics. There were no significant interaction effects between the level of training and the specialty type on either ear deformity or normal pinna anatomy identification. Residents had a 34.5% success rate of identifying ear deformities and showed improved confidence in identification when exposed to a digital-based examination. Improved education methods for detection will help with timely correction of ear deformities.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-19T09:46:26Z
      DOI: 10.1177/0748806821993681
  • Abstracts
    • Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.

      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-18T05:46:17Z
      DOI: 10.1177/0748806821993320
  • Perioperative Skin Conditioning for Patients With Skin of Color
    • Authors: Alix Ferdinand, Suzan Obagi
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      The interest in cosmetic procedures for patients with skin of color is on an upward trend. Globally, dyschromia and hyperpigmentation remain the most common disorders for which patients seek treatment. The goals of a perioperative skin conditioning program include allowing a broad range of patients to be treated regardless of skin phototypes, maximizing results, and reducing risk of complications such as post-inflammatory hyperpigmentation and managing post-inflammatory hyperpigmentation if it occurs. The purpose of this article is to highlight common pigmentation concerns among patients with skin of color, the topical agents used to combat these concerns, and a practical approach to creating an effective yet straightforward topical skin care regimen that can be used across a wide range of patient skin phototypes. Before and after photos of patients with a variety of pigmentation concerns are presented along with a description of the treatment regimen used to improve their conditions and to get their skin to a safer state prior to performing any office-based procedures. By understanding the main concerns of patients with skin of color, one can use a simple and effective skincare regimen to allow these patients to be more safely treated. An effective skincare regimen both prepares the skin prior to procedures and postoperatively to help minimize dyschromias in the postoperative phase.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-17T04:59:24Z
      DOI: 10.1177/0748806821989895
  • Treatment Outcomes of Facial Rejuvenation With a Novel Hyaluronic Acid
           Filler in Asian Women
    • Authors: Tae In Lee, Won Seok Shim, Jung Heum Park, Kyung Hi Choi, Cheol Jeong, Seung Soo Kim, Tae Seob Kim, Yu Kwan Song
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      We conducted this study to assess the short-term treatment outcomes and safety of facial rejuvenation with the YVOIRE volume plus (LG Chem Ltd., Seoul) in Asian women. In this multicenter, retrospective study, we evaluated a total of 291 women (n = 291) who received a facial rejuvenation with the YVOIRE volume plus. We monitored time-dependent changes in the mean Global Aesthetic Improvement Scale (GAIS) scores at 3, 6, 9, and 12 months. In addition, we estimated the duration of efficacy based on the Kaplan-Meier survival analysis. Furthermore, we analyzed incidences of postoperative complications. Our clinical series of the patients achieved mean GAIS scores of 3.44 ± 0.69 points. There were no significant time-dependent changes in the mean GAIS scores (P > .05). Moreover, the duration of efficacy was estimated at 242.71 ± 17.85 days (95% confidence interval: 228.59-263.44). A total of 37 cases (12.7%) of postoperative complications occurred, all of them were of mild severity. In conclusion, our surgical technique, combined with YVOIRE volume plus, is of significance in that it attempted to address both dynamic and static aspects of the facial rejuvenation. But this deserves further studies using 3-dimensional imaging modalities.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-15T07:53:26Z
      DOI: 10.1177/0748806821991422
  • Book Review: Suzanne Noël: Cosmetic Surgery, Feminism and Beauty in Early
           Twentieth Century France by Paula J. Martin
    • Authors: Jane Petro
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.

      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-13T10:36:40Z
      DOI: 10.1177/0748806821993667
  • Women in Cosmetic Plastic Surgery: An Analysis of Female Authorship in
           Cosmetic Plastic Surgery Over the Last 10 Years
    • Authors: Pari Swarnkar, Vikram Sinha, Carole Spake, Joseph Crozier, Ledibabari M. Ngaage, Lauren O. Roussel, Mimi R. Borrelli
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      There is a significant gender gap in research conducted by women in plastic surgery. Previous work has not explored female authorship trends in cosmetic plastic surgery. We asked how authorship trends in cosmetic plastic surgery compare with those in plastic surgery overall, over the last 10 years. All the articles published in Journal of Plastic Reconstructive and Aesthetic Surgery (JPRAS), Facial Plastic Surgery and Aesthetic Medicine (JAMA facial plastics), and Aesthetic Surgery Journal. (ASJ) in 2009, 2014, and 2019 were retrieved. The gender of the first and last author was determined. In addition, article type and total number of authors were extracted. Chi-square or Fisher exact test were performed to determine differences between groups Linear regression models were used to investigate whether total number of authors, or female last authorship predicted female first authorship. A total of 4358 articles were reviewed. Of these, 16.6% (n = 723) were published by a female first and/or last author. Percent of female first and/or last author increased with time, from only 12.2% in 2008, to 15.9% in 2014, reaching 21.7% in 2019. A total of 25% (n = 181) of randomized controlled trials were published by a female first and/or last author compared with only 14% (n = 440) of case studies. Female first and last authorship both increased across the 10-year study period, but there were consistently more female first authors than female last authors in all 3 surveyed years (P < .001). There was an 86% increased chance of female first authorship if the last author was also female (P < .001), and a 7% increased likelihood of female first authorship (P = .002). Women have a lower representation in the cosmetic plastic surgery literature than men. This gender disparity gap, however, is decreasing. While encouraging, opportunities for improvement remain.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-06T11:42:38Z
      DOI: 10.1177/0748806821991416
  • Comparison of Prabotulinumtoxin A to Onabotulinumtoxin A in the Treatment
           of Lateral Canthal Rhytids: A Side-by-Side, Randomized, Double-Blind
    • Authors: Wesley L. Brundridge, Craig N. Czyz, Jill A. Foster, Christopher M. DeBacker, David E. E. Holck
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Botulinum toxin type A (Onabotulinumtoxin A, Incobotulinumtoxin A, Abobotulinumtoxin A) has been successfully used in the treatment of lateral canthal rhytid (crow’s feet) reduction. Prabotulinumtoxin A is a newer medication that has been shown to have efficacy for the treatment of upper limb spasticity and improvement in moderate to severe glabellar lines. This study evaluated the onset of action, maximal effect, duration of action, and side effect profile for Prabotulinumtoxin A compared with Onabotulinumtoxin A in the treatment of crow’s feet. A total of 18 subjects aged 25 to 60 without a previous history of neuromuscular disorders, eyelid surgery, or botulinum toxin type A injections were included. Patients received 3 injections of botulinum toxin in the crow’s feet area on each side. Each side received 4U/.1cc of Prabotulinumtoxin A or Onabotulinumtoxin A at each site for a total of 12U/.3cc. The surgeon was masked to the serotype injected. The subjects had their lateral canthal areas photographed in relaxed and smiling positions preoperatively, daily from postinjection days 1 to 4, and weekly thereafter for a total of 12 weeks. Two masked oculoplastic surgeons were given the preoperative photos and postinjection photos and graded them on a scale of 0 to 3 (0 = no wrinkles, 1 = minimal wrinkles, 2 = moderate wrinkles, 3 = significant wrinkles). All subjects tolerated the injections well with no significant side effects or complications. The average onset of action was 3.47 days (1-14) for Onabotulinumtoxin A and 3.81 (1-14) for Prabotulinumtoxin A. The average time to peak effect was 11.11 days (1-56) for Onabotulinumtoxin A and 9.58 days (2-42) for Prabotulinumtoxin A. The average duration of action with improvement compared with baseline crow’s feet was 11.22 weeks (7-12) for Onabotulinumtoxin A and 11.11 weeks (6-12) for Prabotulinumtoxin A. Treatment of crow’s feet lines with Prabotulinumtoxin A achieves a comparable efficacy and safety profile compared with Onabotulinumtoxin A at a 1:1 dose. Therefore, Prabotulinumtoxin A can be used as another option in the treatment of crow’s feet.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-05T12:06:56Z
      DOI: 10.1177/0748806821989882
  • Trading Osteoplasty for Osteotomy in an Attempt to Achieve a Rapid
           Recovery Rhinoplasty
    • Authors: Dominick J. Gadaleta, Anna Frants, Benjamin C. Paul, David Rosenberg
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Nasal bone lateral osteotomies are a critical component of open and closed rhinoplasty. Lateral osteotomies represent the most traumatic component of rhinoplasty and contribute to significant edema and ecchymosis in the periorbital region. We believe that lateral osteotomies are often performed more frequently than necessary. The senior author of this article has significantly decreased the number of lateral osteotomies that he performs during rhinoplasty and instead advocates for the use of osteoplasty with a rasp when appropriate to narrow and shape the bony dorsum without forming a wide flat open-roof deformity. This study is a retrospective chart review of 239 patients who underwent rhinoplasty with the senior author. Almost half of the patients (44%) did not undergo osteotomies. The revision rate is less than 1% (2 patients). Avoidance of lateral osteotomies in carefully selected patients can offer a more appealing “rapid recovery rhino,” which is characterized by decreased edema, swelling, and faster recovery time with less limitations on postoperative restrictions.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-05T09:44:26Z
      DOI: 10.1177/0748806821991427
  • Comparative Study of Intradermotherapy With Pressurized Injection System
           and Needles
    • Authors: Rafaella Rêgo Maia, Rodrigo Marcel Valentim da Silva, Patrícia Froes Meyer, Eneida de Morais Carreiro, Fábio dos Santos Borges, Joyce Rodrigues, Stephany Luanna Queiroga Farias, Generina Temoteo de Oliveira Varela
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Intradermotherapy allows for treatment of different aesthetic conditions. Currently, it can be applied in its conventional form using needles or using the pressurized technique. The sample consisted of 35 women with adiposity located in the abdominal region. The volunteers were randomly assigned to 3 subgroups: G1 (n = 12) who were subject to the pressurized technique and the conventional technique with needles using only saline substance, with 6 volunteers in each application mode; G2 (n = 9), who received pressurized application using Concept Ti Liporedutor (lipolytic substance); and G3 (n = 14), who were treated with the needle injection technique, with the same substance used in G2. All groups received 4 treatment sessions with 2-week intervals between them. The analysis of the fat layer conducted 90 days after the initial application demonstrated a significant reduction in measurements in the treated groups, and also when compared with the control group, both for ultrasound, perimetry, and plicometry (only right side) data. Despite the effectiveness of the 2 application techniques, the pressurized method showed superior results. Hyperemia and skin marks were among the adverse reactions reported by the groups, but they showed quick resolution. It is noteworthy that most of the volunteers in the treated groups evaluated the results positively and were satisfied with the treatment. The intradermotherapy protocol with lipolytic substance significantly reduced the fat layer, with more evident results when using the pressurized application method.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-03T10:34:36Z
      DOI: 10.1177/0748806821990167
  • Nonsurgical Rhinoplasty: A Technical Note
    • Authors: Ian S. Lehrer, Joe Niamtu
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Cosmetic facial surgery procedures and therapies have continued to evolve with an emphasis on minimally invasive techniques with a shorter recovery time. We present a how-to guide for nonsurgical rhinoplasty including the use of different hyaluronic acid fillers. We provide examples of before and after patient photos as well as photos demonstrating our technique. This technical note highlights the popular concept of minimally invasive nasal contouring using dermal fillers. As such, we provide a brief overview of different dermal fillers that can be used for this application, potential problems and complications, as well as remedies. Dermal fillers have become an entry point into cosmetic surgery for many patients. Our technique of nasal contouring with hyaluronic acid fillers in particular yields safe, effective, and repeatable results.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-03T10:32:16Z
      DOI: 10.1177/0748806821990159
  • Quality and Reliability of YouTube for Patient Information on Facial
    • Authors: Manish J. Patel, Mit M. Patel, Brittany T. Abud, Robert T. Cristel
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      YouTube proves to be a source of health information for patients. This is the first study to analyze the source reliability and educational value of YouTube videos on facial filler treatments. On August 12, 2020, was queried using the keywords “facial filler” or “dermal filler” or “fillers.” A total of 100 were initially reviewed in which 74 videos met the inclusion criteria and were included in the final analysis. Video characteristics were recorded, and each video was graded for source reliability and educational value by using the Journal of the American Medical Association (JAMA) benchmark criteria and the Global Quality Score (GQS), respectively. Furthermore, each video was assessed to determine whether there was discussion of 5 different topics that were deemed to be useful to patients prior to undergoing a facial filler treatment. A total of 74 videos met the inclusion criteria and had an average length of 436 seconds (7 minutes and 16 seconds), 146 805 views, 1906 likes, 73 dislikes, and 241 comments. Forty-five videos (61%) were posted with an intention to educate patients, whereas 29 videos (39%) were posted with an intention to describe a patient’s experience with facial filler treatment. Patient education videos were found to have a significantly higher educational value (PGQS < .001). Patient experience videos showed no difference in reliability score (PJAMA > .05) to patient education videos, but patient experience videos were found to have lower educational value compared with patient education videos (PGQS < .001). In addition, both categories are not providing sufficient information for informed decision-making prior to treatment deemed by the 5 selected categories we found most informative. As patients will continue to seek educational material online, clinicians should use this information to help primarily educate patients with standardized and accurate information about their treatment.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-02-01T11:05:13Z
      DOI: 10.1177/0748806821991408
  • Successful Treatment of Refractory Atopic Dermatitis With the Use of
           High-Peak Power 1064 nm Nd:YAG Laser Therapy
    • Authors: Mistica LaBrasca, Simone Stalling, Georgann Anetakis Poulos, Suzan Obagi
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Atopic dermatitis is a chronic inflammatory skin disease involving the complex association of genetic, immunologic, and environmental causes. Until recently, the treatment of eczematous processes was limited to the use of topical corticosteroids, systemic immunosuppressants, and controlling environmental triggers. Photobiotherapy offers a promising approach to the management of atopic dermatitis. Photobiotherapy is the clinical application of light for healing superficial wounds. We present 2 cases of patients with biopsy-proven, long-standing, poorly controlled atopic dermatitis successfully treated with a high-peak power 1064-nm neodynium:yttrium aluminum garnet (Nd:YAG) laser. Over the course of 9 years, each patient continued to undergo periodic laser treatments to maintain control over their disease. Both patients underwent a series of laser using high-peak power treatments with long-pulsed 1064-nm Nd:YAG laser (Cool Glide, Cutera, Brisbane, California) in “photorejuvenation/Genesis mode” over the course of 9 years. Case 1 received 29 treatments over a 9-year period. When financially able to, the patient had 1 treatment a month for 2 to 6 treatments a year. At the very least, she had a treatment during her worst flares. Case 2 received 19 treatments over 9 years with the timing being monthly when possible but with longer intervals between treatments if her disease was not flaring. One patient that was on systemic immunotherapy to control her atopic dermatitis was able to successfully come off this medication early in her treatment, and both patients experienced long-lasting improvement in their symptoms. The dramatic improvement in the skin eruption, symptoms, and quality of life in these patients further supports addition of the 300-µs 1064-nm Nd:YAG laser for the treatment of refractory atopic dermatitis. The authors are using this modality for less severe eczema that is refractory to topical therapies. However, a greater number of patients are needed as well as larger studies to further elucidate the mechanisms of lasers for eczematous processes. If further studies support this modality, it would be a safe alternative to systemic immunotherapies.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-01-29T11:10:00Z
      DOI: 10.1177/0748806821989885
  • Women in Cosmetic Surgery: Why the New Committee
    • Authors: Jane A. Petro, Suzan Obagi
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.

      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-01-25T06:45:43Z
      DOI: 10.1177/0748806821989901
  • Female Cosmetic Surgeons: Past and Present Perspectives
    • Authors: Aliza Epstein, Natalie Homer, Alison Watson, Tanuj Nakra, Emily Bratton, Marie Somogyi
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.

      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-01-22T05:12:19Z
      DOI: 10.1177/0748806820988434
  • Social Media Filter Use and Interest to Pursue Cosmetic Facial Plastic
    • Authors: Rahul M. Varman, Nicole Van Spronsen, Mia Ivos, Joshua Demke
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Our aim was to explore the effect of social media face-altering programs on desire for subsequent facial plastic procedures. This was a cross-sectional survey study in two cities, incorporating participants ages 18 to 29 in undergraduate and graduate programs. Demographic and social media–specific factors were descriptively and quantitatively analyzed. Total respondents were n = 398. The use of face-enhancing Instagram filters was associated with subsequent desire to undergo facial plastic procedures (chi-square = 5.04, p < .05). History of prior psychiatric diagnosis was also independently associated with a desire to undergo facial plastic procedures (chi-square = 7.34, p < .05). The use of face-altering software on social media has a significant association with subsequent desire to undergo facial cosmetic procedures. Comorbid psychiatric disorders also independently have a significant effect on the desire to pursue such procedures. Continued studies and elucidation of these factors may benefit the facial plastic surgeon for appropriate counseling and management to optimize patient outcomes.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-01-08T06:14:59Z
      DOI: 10.1177/0748806820985751
  • Case of Angular Blepharitis Caused by Demodex folliculorum
    • Authors: Susan Luo, Cat Burkat, Suzanne W. van Landingham
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Angular blepharitis is inflammation of the eyelid skin at the lateral canthus, most commonly caused by Staphylococcus and Moraxella species. The Demodex mite is an external parasite that often infests the human eyelid margin and has been implicated in both anterior and posterior blepharitis. The authors describe the case of a 43-year-old female who presented for evaluation of a 3-month history of bilateral canthal eyelid irritation, consistent with angular blepharitis. This is a case report and review of relevant literature. Skin biopsy showed evidence of Demodex folliculorum infestation. Multiple D. folliculorum organisms were visualized within the hair follicles and on the surface, along with pockets of acute and chronic nongranulomatous inflammation surrounding hair follicles. The patient was treated with tea tree oil applied to her eyelids and eyelashes twice daily with complete resolution of symptoms. To our knowledge, this is the first report of angular blepharitis with histopathologic confirmation of Demodex infestation. In this discussion, we cover manifestations of the Demodex mite, angular blepharitis, and treatment options. Due to the lack of literature regarding this entity, we feel that it may be an underrecognized periocular and dermatologic condition that can lead to misdiagnosis, visits to multiple practitioners, and significant functional and cosmetic sequelae to the patient. Demodex infestation should be considered on the differential diagnosis for cases of refractory angular blepharitis, particularly when unresponsive to topical steroids. Based on results from treating Demodex anterior and posterior blepharitis and this case, treatment with tea tree oil should be considered.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-01-06T10:33:18Z
      DOI: 10.1177/0748806820985762
  • Liposuction of the Neck Using Reciprocating Power Assisted Liposuction
    • Authors: Roland Boeni, Paul von Waechter-Gniadek
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Neck liposuction in local anesthesia is a minimally invasive technique for fat reduction and skin tightening. The purpose of this study was to evaluate the clinical safety of reciprocating power assisted liposuction (PAL) of the neck. Neck liposuction with PAL was performed on 104 consecutive patients (male = 39, female = 65), and the occurrence of side effects were noted. There were no hematomas and no marginal mandibular nerve dysfunction. Transient alopecia at the site of liposuction was found in 3 out of the 39 male patients. In the hands of an experienced surgeon, reciprocating PAL of the neck is a safe method with a very low complication rate.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-01-06T10:30:17Z
      DOI: 10.1177/0748806820985754
  • Combined Upper Blepharoplasty With Upper Eyelid Filler Injection
    • Authors: Mehryar Ray Taban
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      To describe our experience with treating upper eyelid aging with combined upper blepharoplasty and upper eyelid hyaluronic acid gel filler injection. Retrospective analysis of patients with upper eyelid aging (including skin laxity/excess and fat deflation) undergoing combined upper blepharoplasty and upper eyelid hyaluronic acid gel filler injection by one surgeon. Minimum follow-up time was 3 months. Preoperative and postoperative photographs at longest follow-up visit were evaluated by blind observers. Patient satisfaction was recorded using questionnaire and phone call. A total of 40 patients (34 females, 6 males) underwent combined upper blepharoplasty with upper eyelid hyaluronic acid gel filler injection. Mean age was 43 years old (range: 26-75). All patients reported satisfaction with the surgical outcome, with no complications. 6 patients received additional touch-up filler injection postoperatively. One patient underwent additional skin removal. Upper blepharoplasty and upper eyelid hyaluronic acid gel filler injection can be safely and effectively combined together to treat upper eyelid aging for more youthful results.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2021-01-06T10:28:37Z
      DOI: 10.1177/0748806820985333
  • Nuances of the Direct Brow Lift: Oculoplastic Surgeons’ Perspective
    • Authors: Natalie A. Homer, Siwei Zhou, Alison H. Watson, Tanuj Nakra
      Pages: 5 - 10
      Abstract: The American Journal of Cosmetic Surgery, Volume 38, Issue 1, Page 5-10, March 2021.
      The direct supraciliary brow lift is an effective procedure to treat brow ptosis, limited by risk of a cosmetically undesirable scar. We performed a comprehensive literature review of direct supraciliary brow lift techniques and provide a summary of the key considerations. The optimal direct brow lift is initiated with thoughtful incision design and a carefully beveled supraciliary incision. Subcutaneous tissue debulking and wound edge undermining optimize wound eversion and approximation. A layered meticulously executed skin closure is essential for optimal cosmesis. The senior author’s personal technique, incorporating these concepts, is described and illustrated. We reviewed 76 patients (141 brows) who underwent our refined technique. At the time of final follow-up visit (average 4.9 months), 72 patients (94.7%) reported complete satisfaction with results. Adverse outcomes were found in 4 patients (5.3%) and included transient paresthesias (n = 3) and hypertrophic scarring (n = 1). Postoperative care routinely included the use of topical steroids and additional treatment with microneedling and 5-fluorouracil in 2 patients (2.6%) to optimize healing. The direct supraciliary brow lift is a minimally invasive and effective procedure to correct brow ptosis and may yield excellent cosmesis when key principles are utilized.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-07-15T01:08:02Z
      DOI: 10.1177/0748806820940930
      Issue No: Vol. 38, No. 1 (2020)
  • Potential Advantages of Wireless Ultrasound-Guided Transversus Abdominis
           Plane Block for Pain Control Post-Abdominoplasty
    • Authors: Alan Wong, Alexander D. J. Selsky, Alexander Zuriarrain
      Pages: 11 - 14
      Abstract: The American Journal of Cosmetic Surgery, Volume 38, Issue 1, Page 11-14, March 2021.
      Transversus abdominis plane (TAP) block is a relatively new technique used to provide analgesia to the anterolateral abdominal wall following abdominal procedures. Transversus abdominis plane blocks can be performed using a blind/landmark technique or with ultrasound guidance. We report a 49-year-old woman who received a successful wireless ultrasound-guided TAP block during an abdominoplasty. Our case illustrates the potential advantages of a wireless ultrasound-guided TAP block versus a landmark-guided TAP block during an abdominoplasty. It also serves to promote the use of wireless ultrasound imaging when performing a TAP block to minimize risks of the procedure and achieve better pain control postoperatively. Further studies are needed to confirm the added value that ultrasound provides.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-06-16T01:51:50Z
      DOI: 10.1177/0748806820929829
      Issue No: Vol. 38, No. 1 (2020)
  • An Opioid Addicted Cosmetic Patient: A Case Report and Review of the
           Literature for the Management of an Opioid-Dependent Cosmetic Patient
    • Authors: Lara Wetton, Darryl Hodgkinson
      Pages: 15 - 20
      Abstract: The American Journal of Cosmetic Surgery, Volume 38, Issue 1, Page 15-20, March 2021.
      There is a large body of literature dedicated to patient selection in plastic surgery. Much of this, however, is dedicated to the recognition of patients with body dysmorphia, those psychologically unfit for surgery, and those who have medical conditions that make the risk of complications unacceptably high. There is, however, little in the way of recognition and management of patients with chronic pain issues. With opioid misuse and dependence on the rise, the likelihood of plastic surgeons encountering patients who have obvious or occult opioid dependence issues has increased. In this case report and review of literature, we aim to present an evidence-based approach to the diagnosis and management of plastic surgery patients with a known opioid dependence.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-06-29T01:50:05Z
      DOI: 10.1177/0748806820934916
      Issue No: Vol. 38, No. 1 (2020)
  • Safety of Wireless Ultrasound-Guided Gluteal Fat Grafting
    • Authors: Alan Wong, Alexander D. J. Selsky, Alexander Zuriarrain
      Pages: 21 - 23
      Abstract: The American Journal of Cosmetic Surgery, Volume 38, Issue 1, Page 21-23, March 2021.
      Gluteal fat grafting (or autologous fat transfer to the buttocks) is one of the fastest growing procedures in plastic surgery. However, as the popularity of the procedure has grown, so has the number of fatalities and complications. Fatalities are mainly linked to fat embolism, which can occur when fat is injected into the gluteal muscles, instead of subcutaneously. The use of wireless ultrasound imaging during the procedure can help reduce the chances of intramuscular fat injection and improve patient safety. Here, we present a 36-year-old female underwent circumferential liposuction with autologous fat transfer to the bilateral buttocks. From liposuction, 3500 mL of fat was harvested and 1000 mL of fat was injected into each buttock with wireless ultrasound guidance. We identified the subcutaneous plane where fat was to be injected, avoided penetrating the muscular fascia, and observed (in real-time) fat being introduced into the subcutaneous tissue. Wireless ultrasound-guided gluteal fat grafting is an effective and reliable method of visualizing the anatomy of the gluteal region and preventing intramuscular injection of fat. The technology is readily available, very user-friendly and serves as a great learning tool. Based on our positive experience using ultrasound guidance, larger comparative studies should be conducted to confirm its value.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-07-10T05:50:42Z
      DOI: 10.1177/0748806820938566
      Issue No: Vol. 38, No. 1 (2020)
  • Widespread Subcutaneous Emphysema After J-Plasma Therapy
    • Authors: Jia Y. Lim, Muhammad Umair Javed, Wiktor Pilch, Abdullah Ibrahim, Jack Harbison
      Pages: 24 - 26
      Abstract: The American Journal of Cosmetic Surgery, Volume 38, Issue 1, Page 24-26, March 2021.
      Subcutaneous emphysema refers to the abnormal presence of free gas within the subcutaneous tissue. Its cause can be broadly classified into 3 main causes: (1) infection by gas-forming microorganisms, (2) visceral perforation of luminal organs, and (3) spontaneous alveolar rupture. We report a case of a 48-year-old lady who developed extensive subcutaneous emphysema after undergoing VASER-assisted liposuction and J-Plasma® therapy at a local cosmetic clinic. The patient was admitted to our tertiary plastic surgery department where she was managed conservatively and discharged at day 3 without any complications. Subcutaneous emphysema is a known but rare complication of liposuction. While subcutaneous emphysema is usually self-limiting, fatal complications can occur. As such, patients considering these procedures should be informed of its risks and benefits to allow them to make an informed decision. This report highlights the importance of meticulous surgical technique in liposuction and its postoperative assessment.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-08-06T09:44:29Z
      DOI: 10.1177/0748806820947906
      Issue No: Vol. 38, No. 1 (2020)
  • Nanofat in Facial Rejuvenation: Step-by-Step Procedure, Patient Evaluation
           and Recovery Process
    • Authors: Nabil Fakih-Gomez, Enosh Steward, Maria del Carmen Orte Aldea
      Pages: 27 - 35
      Abstract: The American Journal of Cosmetic Surgery, Volume 38, Issue 1, Page 27-35, March 2021.
      Several reports have been published wherein intradermal filling with nanofat has been used for skin rejuvenation, texture improvement and scar treatment. A study was conducted between August 2017 and August 2018 which included 20 female patients having wrinkles, hyperpigmentation, erythema, and enlarged pores. Lidocaine cream, local infiltration with lidocaine or sedation was used in accordance with the patient’s convenience. Nanofat was injected intradermally in all the facial regions. All patients filled a questionnaire at sixth month post treatment which consisted of questions regarding pain, bumps area and resolution, grade of improvement of skin (wrinkles, smoothness, wrinkles, pores and redness), recovery of donor area, time to reincorporate to normal routine, nanofat-time efficacy and recommendation of the treatment. Patients undergoing it with sedation had less bruising and pain. Lateral thigh as the donor area had less pain in the recovery period. The residual bumps persisted for more time in non-mobile areas while average time to disappear was 3.6 weeks. Patients started to notice the change after nanofat injections at about 1.12 months later. The improvement was noticed for smoothness of skin (100% patients), wrinkles (40% patients), pore size reduction (15% patients), improvement in redness (10% patients). The effect of nanofat was felt by patients for an average time of 3.85 months. All the patients were satisfied and recommended it. No major complications were reported. Nanofat treatment is safe and it conveys beneficial effects on skin rejuvenation as per the post-operative skin texture changes and the satisfaction of patients.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-04-29T12:39:20Z
      DOI: 10.1177/0748806820919935
      Issue No: Vol. 38, No. 1 (2020)
  • Analysis of Satisfaction of Patients Undergoing Breast Augmentation Using
    • Authors: Muhammad Ahmad
      Pages: 36 - 41
      Abstract: The American Journal of Cosmetic Surgery, Volume 38, Issue 1, Page 36-41, March 2021.
      The objective of this study was to document a patient’s evaluation after breast augmentation using BREAST-Q. The study was conducted in a private cosmetic surgery setup among female patients undergoing breast augmentation silicone implant surgery or fat transfer. All the surgeries were performed by a single surgeon under general anesthesia. Three parameters of BREAST-Q were noted preoperatively and after 9months. All the data were analyzed statistically. The mean age of the patients was 28.6 years. The average implant volume was 331 mL (range, 250-455 mL). The patients undergoing fat transfer had an average of 391.7 mL (range, 295-450 mL) injected on each side. There was a statistically significant difference noted in the scores preoperatively and postoperatively. The use of validated survey instruments plays an important role in improving patient-reported outcomes. Breast augmentation with fat transfer was shown to have higher patient satisfaction using BREAST-Q.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-06-14T06:37:49Z
      DOI: 10.1177/0748806820929834
      Issue No: Vol. 38, No. 1 (2020)
  • A Single-Center, Prospective Trial Investigating Effects of Combined
           Infrared, Radiofrequency, Mechanical Massage, and Suction Treatment on
           Submental and Lateral Neck Tissue Contouring
    • Authors: Marc A. Polacco, Teresa Luu, Garrett Ni, Natalie H. Attenello, Agatha Dicarlo, Corey S. Maas
      Pages: 42 - 49
      Abstract: The American Journal of Cosmetic Surgery, Volume 38, Issue 1, Page 42-49, March 2021.
      There are many treatments for neck laxity and fullness, both invasive and noninvasive. The purpose of this study was to evaluate the effectiveness of combined infrared, radiofrequency, mechanical massage, and suction therapy in performing contour changes in the submental and lateral neck regions. This was a single-center, prospective cohort study in which 30 patients were treated with a session of combined infrared, radiofrequency, mechanical massage, and suction therapy once a week for 4 weeks. Follow-up was performed at posttreatment months 1, 3, and 6. Both subjects and investigators completed submental fat grading scales and lateral neck and jowl linear analog scales. Exclusion criteria included history of soft tissue augmentation, cosmetic injections, ablative or nonablative skin resurfacing, or surgical procedures in the lower facial region, as well as weight gain or loss exceeding 10 pounds during the study period. There was a significant difference between mean ± SD neck and jowl investigator scores at day 0 and month 6, which were 5.6 ± 0.9 and 4.4 ± 1.0, respectively (P < .05). Mean investigator submental fat score at day 0 was 1.9 ± 0.7 vs 1.5 ± 0.6 (P = .04) at month 6. Differences between mean patient neck and jowl and submental fat scores were also statistically significant between day 0 and month 6. At day 0, the mean patient neck and jowl score was 4.7 ± 0.8 vs 3.2 ± 1.1 at month 6 (P < .05), and at day 0, the mean patient submental fat score was 2.2 ± 0.5 vs 1.8 ± 0.6 at month 6 (P < .05). Combined infrared, radiofrequency, mechanical massage, and suction therapy provides an effective, noninvasive treatment modality for improving contour of the lateral neck and submentum.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-07-02T11:53:25Z
      DOI: 10.1177/0748806820938570
      Issue No: Vol. 38, No. 1 (2020)
  • Nonsurgical Rhinoplasty: A RealSelf Social Media Analysis
    • Authors: Solomon Husain, Garrett Locketz, Adam Honeybrook, Jason D. Bloom
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Patients use social media to report on medical care and rate their satisfaction with cosmetic procedures and providers. Currently, there are few studies that examine the satisfaction of nonsurgical rhinoplasty. This study aims to identify variables of patients’ choice and satisfaction of the nonsurgical rhinoplasty procedure through social media reviews. Data were extracted from 420 nonsurgical rhinoplasty reviews from from March 2017 to April 2020. Recorded variables include patient demographics, price, nasal deficiency, patient-described improvement after injection, and physician characteristics influencing patients’ decision making. Of the data extracted from the reviews, 85% of reviewers were women, with a mean age of 27.4 years (SD, ±8.7 years). Eighty-four percent of reviewers had the procedure performed in the United States (84%). The mean cost was $1074 (SD, ±$733.20; median, $850). The most common patients’ deficiencies for this procedure include a “nasal hump” for 31.2% of reviewers and a “bump or dent” in the nose for 35.1% of reviewers. The procedure outcomes commonly noted were a positive change in “shape” of their nose (66.0%), improved confidence (44.4%), and improvement in profile (34.0%). The predominant reasons reviewers chose their injector were (1) favorable injector demeanor (63%) and (2) ability of the injector to provide emotional reassurance (49%). In all, 95.6% considered nonsurgical rhinoplasty “worth it.” Ninety-five percent of online reviewers stated that nonsurgical rhinoplasty was “worth it,” with an average cost of $1074, minimal post-procedure recovery time, and minimal pain. The most common nasal deficiency includes a bump, a hump, and a crooked shape. The most commonly stated improvement was in the shape of the nose. This demonstrates the utility of nonsurgical rhinoplasty for correction of a wide variety of nasal deficiencies. In the analysis of provider characteristics, the most important aspect was the provider’s demeanor. Patients used words like “warm,” “welcoming,” and “understanding of their desires.” They described feeling “comfortable” with the provider. The most important factor for selecting a provider was the emotional connection between the provider and the patient. Satisfaction of nonsurgical rhinoplasty is high, which corroborates reported satisfaction rates in the literature. Nonsurgical rhinoplasty exhibits significant versatility in the defects it can improve. Many patients chose their provider for their personality and emotional connection formed.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-12-23T10:33:57Z
      DOI: 10.1177/0748806820981203
  • Buccal Fat Pad Sculpting for Lower Facial Contouring With 3-Dimensional
           Volume Assessment
    • Authors: Robert T. Cristel, Benjamin P. Caughlin
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Buccal fat pad sculpting and removal (BFPS) can create narrowing of the lower 1/3rd of the face by selective removal and reduction of soft tissue volume. Three-dimensional (3D) imaging allows for quantitative and objective assessment of volume changes over traditional 2-dimensional photographs that has not been previously studied in BFPS. A prospective study was designed in consecutive subjects undergoing BFPS from April 2018 through March 2020. Only those patients that underwent solely BFPS were included. VectraXT 3D imaging and software was used to compare preoperative and postoperative volume changes. Fifteen patients were enrolled in the study with 2 males and 13 females. The mean length of follow up was 7.7 months (range: 1-21 months). All patients were found to have volume reduction in the area evaluated. The mean volume reduction of the selected mid-lower face in the frontal view was 7.2 mL on the left side and 7.5 mL on the right side. There was no statistical difference between the volume change when the 2 sides were compared (P= 0.82). This study demonstrate the use of 3D photography to objectively and quantitatively assess volume change following BFPS and that the volume removed is significant enough to demonstrate favorable results using 3D imaging. Buccal fat pad sculpting is a safe and reliable option for creating a narrowed lower one-third of the face. This is accomplished by selective fat removal and cautery induced reduction of the lower one-third of the face soft tissue volume. VectraXT 3D imaging and analysis is a powerful tool to objectively and quantitatively assess volume changes in BFPS.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-12-16T09:06:18Z
      DOI: 10.1177/0748806820980862
  • Cryocarboxy Surgery for the Treatment of Congenital Melanocytic Nevi of
           the Face, a New Addition of Simple Treatment for a Troublesome Problem
    • Authors: Nader Gomaa Elmelegy
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Congenital melanocytic nevi of the face cause substantial psychological and cosmetic problems in affected patients. The treatment of giant congenital nevi has been a long-standing challenge, but currently, various treatment options, such as cryotherapy, chemical peeling, electrical cautery, laser therapy, and surgery, have been tried for the treatment of congenital melanocytic nevi. In this article, we present our experience and the outcomes of the use of controlled carbon dioxide gas as a cryogen in the treatment of congenital melanocytic nevi. This study included 42 patients with varying sizes of congenital melanocytic nevi seen from January 2014 to April 2019. Cryocarboxy surgery was performed in all cases. The average evaluation score of our patients was excellent in 28 (66.6%) cases, good in 9 (21.4%) cases, satisfactory in 5 (12%) cases, and we had no poor results. Cryocarboxy surgery is a good addition to the armamentarium for the treatment of congenital melanocytic nevi. Carbon dioxide is a cheap, non-explosive, and readily available gas.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-11-30T01:33:44Z
      DOI: 10.1177/0748806820977369
  • Angle Osteoplasty and Cosmetic Debulking for Correction of a Case of
           Unilateral Masseteric Hypertrophy
    • Authors: Colonel (Dr) Priya Jeyaraj
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Facial asymmetry is one of the commonest causes of impaired aesthetics, serving as a strong motivation for patients to seek corrective treatment. Benign masseteric hypertrophy is a well-known, albeit uncommon condition of rather obscure etiology, resulting from unilateral or bilateral increase in volume and bulk of the masseter muscle, that may or may not be accompanied by hyperostosis of the underlying bony angle of the mandible. This report elaborates a modified surgical modality and operative technique that effectively addresses both, the hard as well as soft tissue malformations in the region simultaneously, and is associated with the least incidence of relapse and recurrence of the condition. A 26-year-old woman with severe facial asymmetry resulting from unilateral masseteric hypertrophy was taken up for surgical debulking of the masseter. Surgical resection of one-third of the hypertrophied muscle bulk from its inner or medial aspect, followed by shaving of bony spurs and recontouring of angle of the mandible, was done. The surgical technique described is a definitive, efficacious, and reliable intervention for successful and long-term management of idiopathic masseter muscle hypertrophy that results in an excellent and long-lasting aesthetic outcome.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-11-26T09:49:10Z
      DOI: 10.1177/0748806820974527
  • Ten Women Cosmetic Surgeons Comment on Their Cosmetic Fellowship
    • Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.

      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-11-16T05:31:01Z
      DOI: 10.1177/0748806820971065
  • Lipofilling to the Buttocks and Breasts in Local Anesthesia Using VASER
           and Expansion Vibration Lipofilling in a Closed-Loop System
    • Authors: Roland Boeni, Paul von Waechter-Gniadek
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Large-volume fat transfer to the buttocks and breast has rapidly become popular. Lipofilling using syringes is tedious, time-consuming, and carries the risk of contamination. Most often, systemic anesthesia is being used. This study aims to evaluate the efficacy of large-volume lipofilling in local anesthesia. Local anesthesia was performed with 2 anesthetics: lidocaine and prilocaine. We performed vibration amplification of sound energy at resonance (VASER) and reciprocating power-assisted liposuction (PAL) for fat collection in a closed-loop system using a peristaltic pump. In a reverse pump setting, fat was then used for expansion vibration lipofilling. Pre- and postoperative data were collected. There were no major complications. Liposuction volumes up to 3.100 mL were extracted, and injection volumes ranged from 200 to 1600 mL. Mean operation time was 96 minutes. Satisfaction rate was high. Anesthesia was sufficient in all patients. Using a closed-loop system for fat extraction–purification and transfer is not only time- and cost-effective but also ideal for large-volume fat grafting. Recovery time is 1 to 2 days and satisfaction rate is high.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-09-17T11:18:43Z
      DOI: 10.1177/0748806820956498
  • Bone Remodeling Under Screw-Fixed Chin Implants in Patients With
           Microgenia: A Cross-Sectional Study
    • Authors: Cristina Ortiz-Díaz, Edgar Echevarría, Lidia M. Guerrero, Sona Rivas-Tumanyan, Augusto Elias
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      The use of alloplastic chin implants has been associated with a risk of bone resorption. The aims of this study were to evaluate, in patients with microgenia, the association between chin implants and bone resorption and identify the associated risk factors for such resorption. The sample consisted of 51 patients with microgenia: 17 with chin implants (group A, placed over the course of a 15-year period [2002-2017]) and 34 without implants (group B). Cone-beam computed tomography was used to evaluate bone erosion in different areas of the chin. The patients were evaluated, and their medical records were reviewed to identify risk factors. A chi-square or Fisher exact test and the Mann-Whitney test were used to compare groups; resorption sites were compared with Friedman test. Linear regression models were used to evaluate associations between potential risk factors and resorption. Bone resorption was higher in group A than in group B (mean ± SD: 0.98 ± 0.63 mm vs 0.03 ± 0.12 mm; P < .0001). Symphyseal buccal cortical bone in group A was thinner (1.66 ± 0.34 mm) than it was in group B (2.07 ± 0.45 mm), P < .001. Group A showed appositional bone growth and no cortical bone perforation. The mean of the amount of bone resorption of chin implant patients compared with that of those without implants was, on average, 0.99 mm greater (95% confidence interval: 0.64-1.35; P < .001). Although statistically significant differences in bone resorption were observed between groups, these differences were not clinically significant. Thinning of symphyseal buccal cortical bone without perforation and appositional bone growth occurred in chin implant patients, suggesting bone remodeling. Our results suggest that bone that is in contact with chin implants remodels and remains stable throughout the years, instead of undergoing progressive resorption.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-09-16T10:49:13Z
      DOI: 10.1177/0748806820954747
  • Anxiety and Hair Restoration Surgery
    • Authors: Muhammad Ahmad, Mohammad Humayun Mohmand
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      The objective of this study is to compare the anxiety scores before and after hair transplant surgery in bald patients. This prospective, comparative study was conducted in a private setup after obtaining the informed consent. The Hamilton Anxiety Rating Scale (HAM-A) was used. Only those patients who filled the pro forma before surgery and underwent first hair transplant were included. All the details of the patients such as age, time elapsed since surgery, score before and after the surgery and so on were noted. All the data were analyzed using analysis of variance test. A total of 50 patients were included, with mean age of 30.9 years. The average HAM-A anxiety score was 33.16 before the surgery and 19.62 after the surgery. The average time interval (before and after surgery) was 12.7 months. The average anxiety score in patients less than 30 years of age was 33.46 before surgery and 18.5 after the surgery. Similarly, the average score in patients above 30 years of age was found to be 32.89 before surgery and 20.65 after the surgery (P < .01). The results indicated a significant improvement on the anxiety score after the surgery (P < .01). The hair transplant definitely improves the anxiety in the balding patients.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-08-26T09:20:32Z
      DOI: 10.1177/0748806820951739
  • Liposuction and Lipoinjection in Defining the Interactive Areas of the
           Back, Thighs, and Buttocks, for a More Enhanced Gluteoplasty
    • Authors: Nader Gomaa Elmelegy
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      The measurements of beautiful buttocks have varied according to patient preference, different cultures, and ethnicity. There are great differences in the ideal aesthetic measurements of the buttocks among ethnic groups. In this work, the authors introduce an easy and versatile method for the assessment of “Gluteal-Related Aesthetic Subunits.” This method works as a tool to perform liposuction and lipoinjection, to treat the variety of differences in patients’ racial, cultural, personal preferences, and ethnic-related demands, thus improving the results of gluteal aesthetic surgery. This study was carried out on 148 patients, at plastic and reconstructive surgery department, Tanta University hospitals, and in private practice, in the period between 2010 and 2018. The aesthetic assessment and surgical planning were performed according to the criteria suggested by the authors of this work. Patient’s satisfaction showed excellent results in 104 (70.2%) patients, good results in 39 (26.4%) patients, fair results in 5 (3.4%) patients, and no poor results. Clinical assessment showed excellent results in 96 (64.8%) patients, good results in 44 (29.7%) patients, fair results in 8 (5.5%) patients, and no poor results were reported. (1) We believe that this classification of buttock areas is a valuable step that could help in achieving the required results that are more satisfactory to different types of patients. (2) Despite all the merits of this analytical tool and the advantages of the innovations in liposuction, some limitations remain. Fat transfer alone will not treat and even may worsen ptosis.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-08-19T11:06:09Z
      DOI: 10.1177/0748806820951412
  • Combination Approach to Tear Trough Deformities and Under Eye Appearance
           Using Microfocused Ultrasound With Visualization and Hyaluronic Acid
    • Authors: Sheila C. Barbarino
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Filler for tear trough deformities and improved under eye appearance has become a well-accepted procedure to treat fine lines, wrinkles, shadowing, darkness, and hollowness. Microfocused ultrasound with visualization–induced skin tightening can be a powerful modality to treat periocular laxity on its own. There is also considerable rationale for combining these 2 modalities for synergistic rejuvenation of the entire periocular area. This case series recruited participants with mild-to-moderate skin laxity in the periocular area and tear trough deformities. Participants received microfocused ultrasound with visualization therapy followed 3 months later by injection with Cohesive Polydensified Matrix hyaluronic acid gel. Photographs were taken at baseline, 3 months after microfocused ultrasound with visualization therapy, and 1 month after Cohesive Polydensified Matrix hyaluronic acid injection for rating by physicians and participants using the Global Aesthetic Improvement Scale. All participants also completed a satisfaction questionnaire. This pilot study enrolled 10 participants ranging in age from 35 to 55 years. After microfocused ultrasound with visualization alone, physicians rated 4 participants “much improved,” 5 “improved,” and 1 with “no change.” After participants had received both treatment modalities, physicians rated 9 participants as “very much improved” and 1 as “much improved.” Participant satisfaction was high with microfocused ultrasound with visualization alone and even higher with the combined treatment approach with all 10 participants reporting their periocular appearance “very much improved” at the end of the study. No treatment complications were observed. In conclusion, microfocused ultrasound with visualization in combination with Cohesive Polydensified Matrix hyaluronic acid gel was effective at improving appearance of the eye area in participants with periocular skin laxity and tear trough deformities.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-08-07T09:51:55Z
      DOI: 10.1177/0748806820947580
  • Case Report: The TRTMI Procedure, a Novel Surgical Technique for
    • Authors: Beshoy Nashed, Rhys Branman
      Abstract: The American Journal of Cosmetic Surgery, Ahead of Print.
      Gynecomastia presents the most common breast issue in men. It is defined as benign proliferation and enlargement of male breast glandular tissue that distributes most prevalently among neonates, adolescents, and elderly men. With a prevalence of over 60% in the male population, various classifications and treatment options have emerged to address male gynecomastia. Surgical treatment presents challenges and is used when gynecomastia has been present for several years or if medical therapy has been unsuccessful. We attempt to address some of these surgical challenges as they relate to aesthetic goals by presenting our surgical technique. Our surgical technique, the Tissue Resection Through Minimal Incision method, is described with illustrations included. Surgical candidates are selected after a review of the patient’s history, a thorough physical evaluation, obtaining any necessary imaging, and a detailed discussion with the patient. A hybrid, minimally invasive, and direct excision technique is used, including both standard VASER liposuction and direct glandular tissue resection via only a single 3-mm, well-hidden incision using simple instruments readily available with reproducible outcomes. We stress the idea of tissue inversion being key to make this feasible. Several case examples are presented with before and after comparisons, demonstrating good aesthetic results and skin retraction. In the more than 80 cases performed, one patient presented with dusky nipple areolar complex in the recovery room, which resolved with topical nitroglycerin. No nipple areolar complex necrosis occurred, nor hospitalizations were required for the cases performed. A few cases of tissue edema and swelling occurred correlating with inadequate compression or strenuous activity. Incisions were well hidden and aesthetically pleasing to patients. We briefly review gynecomastia classification and treatment options focused on surgical approaches. Of the various surgical methods available to treat gynecomastia, limitations and challenges include unfavorable scar and risk profiles, as well as inadequacy of tissue resection with the minimally invasive techniques. To meet this unmet need, our patented Tissue Resection Through Minimal Incision technique offers a novel minimally invasive approach that includes adequate tissue excision while maximizing aesthetic results and with nominal scarring. There is great need in surgical treatment of gynecomastia to minimize incisions and improve outcomes. Glandular tissue excision is a challenge to the cosmetic profile because of incisions used. Our novel technique and benefits involved address those concerns. However, our procedure does not address gynecomastia cases with excessive skin redundancy that requires excision. Further studies are still needed to address such challenges regarding aesthetic profile goals.
      Citation: The American Journal of Cosmetic Surgery
      PubDate: 2020-07-22T06:49:30Z
      DOI: 10.1177/0748806820941692
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Tel: +00 44 (0)131 4513762

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